Brigham and Women's Hospital
Principal Duties and Responsibilities
CLINICAL PRACTICE
A. Organization of Patient Care
1. Accountable for assessing, planning, implementing and evaluation a plan of care for a specific patient assignment.
2. Sets priorities when organizing care for patients with varying acuity which includes primary and associate patients.
3. Continuity is maintained through clear and concise communication (verbal and written).
B. Quality of Care
1. Documentation is clear, complete, concise and in compliance with nursing documentation standards.
2. Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
3. Plan of care includes education for the patient and family, utilizing appropriate resources. Specifically, advising patient and family regarding allergen environmental control measures and use of metered dose inhalers, breath activated inhalers, breath activated inhalers, spacers, etc. Accurately communications the physician's instructions to the patient. Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures.
4. Plan of care reflects discharge planning utilizing appropriate resources and referrals including community resources. As ordered by the physician, discharge care includes blood tests, skin tests, pulmonary function test and reversal, EKG, immunotherapy and/or X-rays.
5. Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
6. Participates actively in the departmental and organization quality management and/or quality improvement programs. Is responsible for maintaining work environment based on JCASHO and DPH standards. Responsible for maintaining perpetual inventory, of samples for the department.
7. Provides a safe environment for patients, staff, family and visitors.
8. Administers medication safely according to established policies and procedures. Administers allergen immunotherapy/ desensitization, allergy testing, oral challenge testing. Prepares, dilutes and mixes allergen extracts according to established policies and procedures. Takes vital signs and performs PFTs (pulmonary function tests).
9. Performs nursing procedures safely and efficiently.
10. Uses equipment safely and efficiently. Performs pre and post bronchodilator spirometry.
11. Demonstrates awareness of potential/actual risks of infection and modes of transmission. Utilizes universal precautions in nursing practice.
12. Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medication and injections and other procedures that require a nursing license.
13. Triggers patient telephone calls and accurately relays information to the appropriate physician.
Professional Nursing Behavior
1. Interacts with patients, families and colleagues in a professional manner.
2. Collaborates with other discipline(s).
3. Develops, utilizes and evaluates department-specific standards of care.
4. Participates in the department-based and organization quality assurance.
5. Participates in determining and implementing goals and objectives for the department.
6. Upholds the ANA code of ethics and acts as a role model to the other staff members.
7. Participates in determining goals and objectives in the periodic review and evaluation.
8. Serves on the departmental and organization committees, and disseminates information to peers.
9. Treats all patients with dignity, compassion and respect.
Education
Graduate of an approved school of nursing with current registration in Massachusetts.
For newly licensed nurses, a Bachelor of Science Degree in Nursing is required.
Experience
1. Recent experience in an ambulatory outpatient office visit setting required. (Recent defined as within 5 years.)
2. Recent pediatric experience required.
3. Recent experience in Allergy required.
4. Recent Procedural experience required.
5. Recent Knowledge and experience with telephone triage required.
6. Current experience with the following skills preferred:
- Knowledge and experience in administration of allergen immunotherapy/desensitization.
- Knowledge and experience in methods of allergy testing (patch/puncture, Scratch, intradermal).
- Knowledge and experience in oral challenge technique. Oral challenges include foods, as well as medications.
- Knowledge and experience in preparation and mixing of allergen extracts.
- Knowledge and experience in dilution of allergen extracts.
- Knowledge and experience in patient education regarding allergen environmental control measures and use of metered dose inhalers, spacers, etc.
- Knowledge and experience in the performance of pre and post bronchodilator spirometry.
- Knowledge and experience with chemotherapeutic skin tests including by not limited to carboplatin, cisplatin, cytoxan, taxol, oxaliplatin and avastin.
- Knowledge and experience with mixing venoms and skin testing to venoms.
- Knowledge and experience with penicillin skin tests.
- Knowledge and experience with aspirin desensitizations.
- Knowledge and experience with McKesson medication ordering.
- Knowledge and experience with entering charges for Allergy testing.
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
#J-18808-Ljbffr
A. Organization of Patient Care
1. Accountable for assessing, planning, implementing and evaluation a plan of care for a specific patient assignment.
2. Sets priorities when organizing care for patients with varying acuity which includes primary and associate patients.
3. Continuity is maintained through clear and concise communication (verbal and written).
B. Quality of Care
1. Documentation is clear, complete, concise and in compliance with nursing documentation standards.
2. Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
3. Plan of care includes education for the patient and family, utilizing appropriate resources. Specifically, advising patient and family regarding allergen environmental control measures and use of metered dose inhalers, breath activated inhalers, breath activated inhalers, spacers, etc. Accurately communications the physician's instructions to the patient. Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures.
4. Plan of care reflects discharge planning utilizing appropriate resources and referrals including community resources. As ordered by the physician, discharge care includes blood tests, skin tests, pulmonary function test and reversal, EKG, immunotherapy and/or X-rays.
5. Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
6. Participates actively in the departmental and organization quality management and/or quality improvement programs. Is responsible for maintaining work environment based on JCASHO and DPH standards. Responsible for maintaining perpetual inventory, of samples for the department.
7. Provides a safe environment for patients, staff, family and visitors.
8. Administers medication safely according to established policies and procedures. Administers allergen immunotherapy/ desensitization, allergy testing, oral challenge testing. Prepares, dilutes and mixes allergen extracts according to established policies and procedures. Takes vital signs and performs PFTs (pulmonary function tests).
9. Performs nursing procedures safely and efficiently.
10. Uses equipment safely and efficiently. Performs pre and post bronchodilator spirometry.
11. Demonstrates awareness of potential/actual risks of infection and modes of transmission. Utilizes universal precautions in nursing practice.
12. Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medication and injections and other procedures that require a nursing license.
13. Triggers patient telephone calls and accurately relays information to the appropriate physician.
Professional Nursing Behavior
1. Interacts with patients, families and colleagues in a professional manner.
2. Collaborates with other discipline(s).
3. Develops, utilizes and evaluates department-specific standards of care.
4. Participates in the department-based and organization quality assurance.
5. Participates in determining and implementing goals and objectives for the department.
6. Upholds the ANA code of ethics and acts as a role model to the other staff members.
7. Participates in determining goals and objectives in the periodic review and evaluation.
8. Serves on the departmental and organization committees, and disseminates information to peers.
9. Treats all patients with dignity, compassion and respect.
Education
Graduate of an approved school of nursing with current registration in Massachusetts.
For newly licensed nurses, a Bachelor of Science Degree in Nursing is required.
Experience
1. Recent experience in an ambulatory outpatient office visit setting required. (Recent defined as within 5 years.)
2. Recent pediatric experience required.
3. Recent experience in Allergy required.
4. Recent Procedural experience required.
5. Recent Knowledge and experience with telephone triage required.
6. Current experience with the following skills preferred:
- Knowledge and experience in administration of allergen immunotherapy/desensitization.
- Knowledge and experience in methods of allergy testing (patch/puncture, Scratch, intradermal).
- Knowledge and experience in oral challenge technique. Oral challenges include foods, as well as medications.
- Knowledge and experience in preparation and mixing of allergen extracts.
- Knowledge and experience in dilution of allergen extracts.
- Knowledge and experience in patient education regarding allergen environmental control measures and use of metered dose inhalers, spacers, etc.
- Knowledge and experience in the performance of pre and post bronchodilator spirometry.
- Knowledge and experience with chemotherapeutic skin tests including by not limited to carboplatin, cisplatin, cytoxan, taxol, oxaliplatin and avastin.
- Knowledge and experience with mixing venoms and skin testing to venoms.
- Knowledge and experience with penicillin skin tests.
- Knowledge and experience with aspirin desensitizations.
- Knowledge and experience with McKesson medication ordering.
- Knowledge and experience with entering charges for Allergy testing.
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
#J-18808-Ljbffr